湖北省孕产妇人群中HIV/AIDS流行情况及母婴传播预防  

Prevalence of HIV/AIDS and prevention of mother-infant transmission among pregnant and lying-in women in Hubei

作　　者：代国红[1] 杨勤[1] 马玲[1] 李向东[2] 王丹[2] 

机构地区：[1]湖北省妇幼保健院保健部,湖北武汉430070 [2]湖北省卫生厅妇社处

出　　处：《中国妇幼保健》2010年第30期4370-4372,共3页Maternal and Child Health Care of China

摘　　要：目的:了解湖北省开展艾滋病母婴传播干预工作以来,孕产妇的艾滋病病毒(HIV)感染情况及母婴传播情况。方法:在湖北省全省范围开展孕产妇HIV自愿咨询与检测,对检测过程中发现的HIV抗体阳性孕产妇及婴儿进行综合干预,对阳性孕产妇分娩的婴儿进行随访并于12个月、18个月检测HIV抗体;对婚检确认HIV抗体阳性的妇女提供随访服务,对发现的阳性孕产妇及其分娩的婴儿进行综合干预。结果:自2004年7月～2009年12月,共有2288933名孕产妇接受了HIV自愿咨询检测,发现207名阳性者,阳性率为0.90/万,HIV阳性孕产妇中,经血液传播占11.60%,经性传播占53.63%,其他占10.63%;孕产妇的HIV抗体检测阳性率处于平稳低流行态势。采取干预措施后,尚未发现艾滋病母婴传播的儿童。结论:在艾滋病疫情相对低发地区,通过开展HIV自愿咨询检测服务和对阳性孕产妇及婴儿提供综合干预服务,可掌握当地孕产妇人群中HIV的感染状况,并可有效降低HIV母婴传播率。Objective：To understand the infection status of HIV among pregnant and lying-in women and mother-infant transmission after conducting intervention of HIV mother-infant transmission.Methods：HIV voluntary counseling and detection among pregnant and lying-in women was carried out in Hubei,the pregnant and lying-in women and infants with positive HIV antibody received comprehensive intervention,the infants were followed up and their HIV antibodies were detected at 12 and 18 months;the women with positive HIV antibody who were found during premarital examination were followed up,then the positive pregnant and lying-in women and the infants born by them received comprehensive intervention.Results：From July 2004 to December 2009,2 288 933 pregnant and lying-in women received HIV voluntary counseling,207 women were found with positive HIV,the positive rate was 0.009%;among the women with positive HIV,the proportions of blood transmission,sex transmission and the other transmissions were 11.60%,53.63% and 10.63%,respectively;the positive rate of HIV antibody among pregnant and lying-in women kept low and steady;after adopting intervention measures,no child of HIV mother-infant transmission was found.Conclusion：In the areas with relatively low AIDS prevalence,HIV voluntary counseling services and comprehensive intervention measures for pregnant and lying-in women and infants with positive HIV antibody are helpful to grasp the infection status of HIV among local pregnant and lying-in women and reduce the rate of HIV mother-infant transmission effectively.

关 键 词：艾滋病病毒 母婴传播 预防 

分 类 号：R184.6[医药卫生—流行病学] R715.3[医药卫生—公共卫生与预防医学]